Benefit decisions that survive an appeal
A social benefits agency whose refusals were regularly appealed, and whose case files could not always show what had been checked.
Who they are.
A social benefits agency deciding entitlement on documents the claimant supplies. Its refusals are regularly appealed, and an appeal asks the agency to show what it checked and why.
Anonymised at the client’s request. Client names are never disclosed without written permission.
What had to be solved.
A refusal was justified by whatever the case officer could remember or reconstruct. Appeals succeeded because the agency could not evidence its own checks, and officers applied eligibility rules with small personal variations.
What success looked like.
- Apply eligibility rules identically to every claim
- Store the rule version and source excerpt behind each decision
- Answer an appeal from the file rather than from recollection
What Ceertia does here.
A use case per benefit type, turning each eligibility criterion into a rule applied the same way to every claim. Household composition is reconciled against the residence proof and income evidence, and every verdict is stored with its source.
The declared household composition must be consistent with the residence proof and the income evidence.
How it runs, step by step.
The file arrives with its documents, in any format, from whoever sends it.
Every page is identified and mapped against the expected document list. Missing documents, duplicates and out-of-scope pages are flagged on receipt.
Each rule asks the file a question and answers it directly on the documents, with page, zone and source text attached to the verdict.
The team approves, requests a fix, or rejects. No file is approved or rejected automatically.
What changed.
Every decision is now evidenced. An appeal is answered with the file’s own record, and the personal variation between officers disappeared because they all run the same rules.
- A refusal was justified by whatever the case officer could remember or reconstruct.
- Appeals succeeded because the agency could not evidence its own checks.
- Officers applied eligibility rules with small personal variations.
- Every eligibility check is a rule, applied identically to every claim.
- Each decision stores the rule version and the source excerpt behind it.
- An appeal is answered with the file’s own evidence.
Anonymised case. Client names are never disclosed without written permission. Figures describe the file volumes and checks in this scenario.
Other files, same engine.
A municipal planning department where the legal response period began on receipt, whether or not the application was complete.
Read the case → GovernmentBids assessed on merit, once compliance is settledA public procurement office where every tender opened with days of administrative compliance checking before technical evaluation could begin.
Read the case →See it run on your own files.
Bring one real file to a 30-minute demo. Watch the verification run, evidence on screen.